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Longitudinal surveys on effects of changes in road traffic noise-annoyance, activity disturbances, and psycho-social well-being.

The adverse effects of long-term exposure to a high volume of road traffic were studied in socio-acoustic surveys in 1997 and in 1999 after a substantial reduction in road traffic. The results obtained in 1997 showed a similar response pattern as in previously performed studies in the area in 1986 [Ohrström, J. Sound Vib. 122, 277-290 (1989)]. In 1999, road traffic had been reduced from 25000 to 2400 vehicles per day, and this resulted not only in a large decrease in annoyance and activity disturbances, but also in a better general well-being. The results suggest that a reduction in both noise and other pollutants from road traffic contribute to these effects. To be able to use the outdoor environment and to have the possibility to keep windows open is essential for general well-being and daily behavior, which implies that access both to quiet indoor and outdoor sections of the residency is of importance for achievement of a healthy sound environment. More knowledge of long-term health consequences of exposure to noise and simultaneous pollutants from road traffic is needed. Studies should focus more on "softer" health outcomes and well-being than hitherto and preferably be performed in connection with traffic abatement measures.

Activities of Daily Living↗

Socioeconomic determinants of health: community marginalisation and the diffusion of disease and disorder in the United States.

This article describes the cascading diffusion of "inner city problems" of disease and disorder in the United States--from the huge marginalised inner city communities of the largest municipalities, first along national travel routes to smaller cities, and then from central cities into surrounding more affluent suburbs-following the pattern of the daily journey to work. Public policies and economic practices which increase marginalisation act to damage the "weak ties" of the community social networks which bind central city neighbourhoods into functioning units. Spreading disease and disorder can be interpreted as indices of the resulting social disintegration, which is driven by policy. This "failure of containment" in the United States should serve as a warning for cities in Europe against reducing the municipal and other services that they provide to "unpopular" subpopulations.

Acquired Immunodeficiency Syndrome↗

The influence of local politicians on pedestrian safety.

AIM: To determine whether local politicians influence the distribution of traffic calming measures. METHODS: Longitudinal ecological study in two UK cities. Local political constituencies were categorized by representation by members of the cabinet structure as a marker of influence. The density of traffic calming features per political area, adjusted for the historical pattern of road injuries, was compared between cabinet represented and non-represented areas. RESULTS: Traffic calming density was significantly associated with cabinet representation status, adjusted for historical collision risk (risk ratio 2.77, 95% confidence interval 1.37 to 5.61). CONCLUSION: These results support the hypothesis that senior local politicians are effective advocates for enhancing safety in their areas.

Accident Prevention↗